Dakota Brooks
Individual provider Active NPI Behavior Technician · Cantonment, FL
NPI 1962036004 · NPPES record last updated Feb 27, 2020
Key facts
- NPI
- 1962036004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3771 Stefani Rd
Cantonment, FL 32533-7795 - Phone
- (850) 607-6910
- NPI assigned
- Feb 27, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3771 Stefani Rd
Cantonment, FL 32533-7795
Mailing address
3771 Stefani Rd
Cantonment, FL 32533-7795
Phone (850) 607-6910
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
Other providers in Cantonment, FL
- Samantha Rae Booker
- Riley Bouck
- Horace David Brannon
- Kenithia Z Brewington
- Alexis Brickner
- Aimee Brown
- Alexus Brown
- Branden Brown
- Nicole Brown
- Molly Brustad
All providers in Cantonment, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.